Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,870.00 / $3,757.00 / $4,387.00	Facility		$2,870.00	$3,757.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.83 / $1,170.83 / $1,170.83	Professional		$1,170.83	$1,170.83	$1,170.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $463.13 / $674.92	Facility		$349.99	$463.13	$674.92
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00